HomeMy WebLinkAboutMedici -7908 Belmont Ave SLCALL APPLICABLE INFO MUST BE COMPLETED FOR APPLICATION TO BE ACCEPTED
Date: .2 '.;?- $ — 19 Permit Number:
J '
Building Permit Application
Planning and Development Services
Building and Code Regulation Division
23001 Virginia Avenue, Fort Pierce FL 34982
Phone: (772) 462-1553 Fax: (772) 462-1578 Commercial Residential
PERMIT APPLICATION FOR: .A -C, CK"Oc Dom- Cik
PROPOSED IMPROVEMENT LOCATION:
Address: 77 �h'1JQA4
Legal Description -.See— A4+V C kt A
Property Tax ID #: _ (50 (a 0 L -V ` O 12 y- -- I O _ r Lot No.
Site Pian Name: Block No_
Project Name:
Setbacks Front Sack:
Right Side: Left Side:
DETAILED DESCRIPT10N OF WORK: i
,FFG cAn"St
& wd_rnrl a.n
icitTionai wo
MVAC
Electric
OLU-
3 •hvn ► q S-eev LP/ 'i� " h-et_Fc r
Dee rtormed under tois permit— cnecK all apply:
Gas Tank Gas Piping _ Shutters Q Windows/Doors
El Plumbing Sprinklers 1 �1 Generator Lam[ Roof Roof pitch
Total Sq. Ft of Construction:
Cost of Construction: $ 3 r S
TSq. of First Floor: _
Utilities: LJ Sewer ElSeptic
Building Height:
OWNER/LESSEE:
CONTRACTOR:
l,.,, . _
Name tK.�lCtV 6wo( N - L UL4st- 'I M-eA-Acli_--
Name: James Snyder
Address: 7710
Company: Snyd&s Cooling and Heating, Inc.
rJ
City: -P+. P1{,rG� State -CL
Zip Code: 5t4 41!�_ Fax:
Phone' sp-i z �]
Address: 1'•0• Box 2007
City: Fort Pierce State: FL
Zip Code: 34954 Fax: 772-600-4811
Phone No. 772-528-3377
E-Mail:
Fill in fee simple Title Holder on next page ( if different
from the Owner listed above)
E -Mail: snyderscooling@aol.com
State or County License: CACI 8165791 #26414
if value of construction is $2500 or more, a RECORDED Notice of Commencement is required.
SUPPLEMENTAL CONSTRUCTION LIEN LAW INFORMATION:
DESIGNER/ENGINEER.: d/Not Applicable, MORTGAGE COMPANY: -/Not Applicable
Narne: Name:
Address: Address:
City: State: City: State:
Zip: Phone Zip: Phone:
FEE SIMPLE TITLE HOLDER: .! Not Applicable BONDING COMPANY: ,_,,L'{Vot Applicable
Name: Name:
Address: Address
City: City:
Zip: Phone: Zip: Phone:
OWNER/ CONTRACTOR AFFIDI/IT: Application is hereby made to obtain a permit to do the work and installation as indicated.
I certify that no work or installation has commenced prior to the issuance of a permit.
St. Lucie County makes no representation that is granting a permit will authorize the permit holder to Build the subject structure
swhich is in tructure. Pleasect with c consult withapplicable
ourHlome owners Association andwners AssocIation rreviewbylaws
your deed for any covenants
restrictions which may restrictapplysbit such
In consideration of the granting of this requested permit, I do hereby agree that i will, in all respects, perform the work
in accordance with the approved plans, the Florida Building Codes and St. Lucie County Amendments_
The following building permit applications are exempt from undergoing a full concurrency review: room additions,
accessory structures, swimming pools, fences, walls, signs, screen rooms and accessory uses to another non-residential use
WARNING TO OWNER: Your failure to Record a Notice of Commencement may result in your paying twice for
improvements to your pr ertA Notice of Commencement must be recorded and posted on the jobsite
before the first insp n. au intend to obtain financing, consult tnr ender or an attorney before
commencing vror r r rding your Notice of Commencement.
er/ Lessee/Contractor as Agent for Owner
%E OF FLORI
NTY OF Z �..0 v Q.
The f r Ing instru nt was acknowledged before me
thisdayof 20 I'l by
Dame of person_,makingst2tement
Personally Known OR Produced identification
Type of Identification
Produced \` L 13L4,11�11It11!////��i
•..
{Signature of Notary Public- State of Flo ala ): ecu
Commission No. lri d Le 21) *GG20962
0anypOndedtaet� 01
REVIEWS ! COOTER NT 1 ROEVIE NING J'5Whhh
DATE
RECEIVED
DATE
COMPLETED
Rev. 8/2/17
of Contractor/License Holder
6ATE OF FLORA 4__•��+ Q—
COUNTY OF
The for Ing instru,pieny was acknowledged before me
this M day of ►' 20
d -N, by
Name of person making statement
Personally Known ✓ OR Produced Identification
Type of Identification
Produced _.
{nature of Notary Public- State o�lo+
o ase (gnmission No. �Zg g 2
h'
i9 �°'1p�ndedtha•9.0��
' o
PLANS VEGETATION 5EA TtJR y� ;�8V E
AlF
REVIEW REVIEW REVIEWl�W
MTV
LAKEWOOD PARK -UNIT 4- BLK 32 FROM SE COR BLK 32 RUN S 89 DEG 57 MIN W 302.5 FT FOR
POB, THCONT S89DEG 57MIN W85FT. THNODEG 03MIN W150FT, THN89DEG 57MIN E85
FT, TH S 0 DEG 03 MIN E 150 FT TO POB (9) (MAP 13111 N) (OR 3083-38; 3130-1781)